Healthcare Provider Details

I. General information

NPI: 1417232976
Provider Name (Legal Business Name): LILIANA MORALES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2011
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5801 SUNDALE AVE
BAKERSFIELD CA
93309-2924
US

IV. Provider business mailing address

10821 MONTEMAR DR
BAKERSFIELD CA
93311-4533
US

V. Phone/Fax

Practice location:
  • Phone: 661-827-3100
  • Fax:
Mailing address:
  • Phone: 805-901-7868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number108023
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: